REPUBLIC OF THE PHILIPPINES            )
Province of Nueva Ecija                ) S.S.
Science City of Muñoz                  )
           AFFIDAVIT OF TWO DISINTERESTED PERSONS
      WE, MARIO C. VICENTE, 47 years old and GEORGE M. PEREZ, 36
years old, Filipinos and residents of Barangay Mapangpang, Lupao, Nueva Ecija
and after having been sworn to in accordance with law hereby depose and state,
THAT:
   1. We personally know REYNALDO Y. BALADAD, resident of Barangay
      Mapangpang, Lupao, Nueva Ecija.
   2. We likewise know that he was raising 4 cows since 2012.
   3. That on October 24, 2019, one of the cows died due to snakebite.
   4. These facts, are of our own true and personal knowledge, for we are
      barangay mates and long time friends of REYNALDO Y. BALADAD.
   5. We executed this affidavit without promise of reward and that we will not
      be benefited for its execution.
   6. We have executed this affidavit to attest to the truthfulness of the foregoing
      and to inform Philippine Crop Insurance Corporation about the fact of its
      death and for whatever legal purpose it may serve.
      IN WITNESS WHEREOF, we have hereunto set our hands this November
04, 2019 at Science City of Muñoz, Nueva Ecija.
    MARIO C. VICENTE                                   GEORGE M. PEREZ
            Affiant                                          Affiant
VIN: 4916-0036A-D0272MCV10000                   VIN: 4916-0037A-G2183GMP10000
Issued by: Commission on Elections              Issued by: Commission on Elections
      SUBSCRIBED and SWORN to before me this November 04, 2019 at
Science City of Muñoz, Nueva Ecija and I further certify that they have read the
contents of their affidavit and that they understood the same.
   Doc. No.187;
   Page No. 39;
   Book No. VII;
   Series of 2019.